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Anesthesia Services for Interventional Pain Management ...

Page 1 of 22 medical coverage policy : 0551 medical coverage policy Effective Date .. 2/15/2021 Next Review Date .. 2/15/2022 coverage policy Number .. 0551 Anesthesia Services for Interventional pain Management Procedures in an Adult Table of Contents Overview .. 1 coverage policy .. 2 General Background .. 3 Medicare coverage Determinations .. 5 Coding/Billing Information .. 5 References .. 21 Related coverage Resources INSTRUCTIONS FOR USE The following coverage policy applies to health benefit plans administered by Cigna Companies.

Medical Coverage Policy: 0551 The coverage criteria in this Medical Coverage Policy are based on recommendations from published practice parameters, recommendations and professional society/organization consensus guidelines which support the use of moderate sedation and monitored anesthesia care for individuals undergoing outpatient interventional

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